| NPI | 1942059019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL 1871101691) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 171M00000X Case Manager/Care Coordinator | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: FL 1992914659) | |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2024-05-13 |